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Alcohol consumption patterns of young adolescents in Europe Renate
Alcohol consumption patterns of young adolescents in Europe Renate
Agenda
Agenda
Project AAA-prevent
Project AAA-prevent
Adolescent Alcohol Use in Europe
Adolescent Alcohol Use in Europe
Prevalence
Prevalence
Abstinence Rates
Abstinence Rates
Prevalence last month (beer, wine, breezers; spirits)
Prevalence last month (beer, wine, breezers; spirits)
Prevalence of drinking 5 times or more (last month)
Prevalence of drinking 5 times or more (last month)
Drunkenness due to beer, wine and breezers (lifetime users)
Drunkenness due to beer, wine and breezers (lifetime users)
Drunkenness due to spirits (lifetime users)
Drunkenness due to spirits (lifetime users)
Prevalence of drinking 5 units or more last drinking occasion
Prevalence of drinking 5 units or more last drinking occasion
Prevalence of drinking 5 units or more last drinking occasion
Prevalence of drinking 5 units or more last drinking occasion
Patterns of use
Patterns of use
Cluster Analysis
Cluster Analysis
K-means clustering
K-means clustering
Identification of country clusters
Identification of country clusters
Three country clusters
Three country clusters
Country clusters
Country clusters
Indicators for Risky use
Indicators for Risky use
What is risky drinking
What is risky drinking
Prevention aims and realities
Prevention aims and realities
Operationalisations of risky drinking
Operationalisations of risky drinking
Results
Results
Distribution of indicators
Distribution of indicators
Distribution of sum of indicators
Distribution of sum of indicators
Relationships of indicators
Relationships of indicators
Ausgew
Ausgew
Summary
Summary
Summary
Summary
Open questions
Open questions
Alcohol consumption patterns of young adolescents in Europe Renate
Alcohol consumption patterns of young adolescents in Europe Renate
based on %
based on %
Alcohol consumption patterns of young adolescents in Europe Renate
Alcohol consumption patterns of young adolescents in Europe Renate

Презентация: «Alcohol consumption patterns of young adolescents in Europe Renate Soellner Astrid-Britta Br?ker University of Hildesheim». Автор: Julia. Файл: «Alcohol consumption patterns of young adolescents in Europe Renate Soellner Astrid-Britta Br?ker University of Hildesheim.ppt». Размер zip-архива: 1359 КБ.

Alcohol consumption patterns of young adolescents in Europe Renate Soellner Astrid-Britta Br?ker University of Hildesheim

содержание презентации «Alcohol consumption patterns of young adolescents in Europe Renate Soellner Astrid-Britta Br?ker University of Hildesheim.ppt»
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1 Alcohol consumption patterns of young adolescents in Europe Renate

Alcohol consumption patterns of young adolescents in Europe Renate

Soellner & Astrid-Britta Br?ker University of Hildesheim

AAA-Prevent Alcohol Abuse among Adolescents in Europe Effective Environmental Strategies for Prevention

2 Agenda

Agenda

3 Project AAA-prevent

Project AAA-prevent

Based on: International Self-Report Study of Delinquency (ISRD-2; 2006-2010) N = 67.883, 30 countries, 7. – 9. Klasse (11 – 18 year olds) delinquency, leisure time, drug and alcohol use, family, neighbourhood etc. Alcohol Abuse among Adolescents in Europe. Effective environmental strategies for prevention N = 57.771 25 countries 7. – 9. Klasse (12 – 16 year olds )

AAA-Prevent

Junger-Tas, Marshall, Enzmann, Killias, Steketee & Gruszczynska (2010)

4 Adolescent Alcohol Use in Europe

Adolescent Alcohol Use in Europe

European School Survey Project on Alcohol and Other Drugs (ESPAD): 62% of the adolescents drank during the last month 39% have been drunken during the last year 43% used at least 5 units of alcoholic beverages (heavy episodic drinking) Hibell, Guttormsson, Ahlstr?m, Balakireva, Bjarnason, Kokkevi & Kraus (2009) Health Behavior in School-Aged Children (HBSC) weekly use: 11% of the 13 year olds; 26% of the 15 year olds being drunken at least twice: 11% of the 13 year olds; 33% of the 15 year olds Currie, Nic Gabhainn, Godeau, Roberts, Smith, Currie, Picket, Richter, Morgan & Barnekow (2008)

ESPAD (2007): 15-16 year olds 35 countries

HBSC (2005/2006): 11-15 year olds 41 countries

5 Prevalence

Prevalence

6 Abstinence Rates

Abstinence Rates

Notes: lowest abstinence rates in Eastern European countries High abstinence rates in Mediterranean countries, but also in Iceland, Bosnia-Herzegovina & Norway

7 Prevalence last month (beer, wine, breezers; spirits)

Prevalence last month (beer, wine, breezers; spirits)

Notes: Less than 50% report drinking alcohol last month Same pattern as regards lifetime use: Hungary, Estonia, Czech Republic and Denmark show higher use than Portugal, Iceland and Bosnia-Herzegovina

8 Prevalence of drinking 5 times or more (last month)

Prevalence of drinking 5 times or more (last month)

(beer/wine/breezers; spirits)

Notes: Youngsters from Central European countries show frequent use (e.g. Switzerland, the Netherlands, Germany) It is the only upper position of Switzerland in all rankings Portugal, Iceland and Bosnia-Herzegovina are lowest again

9 Drunkenness due to beer, wine and breezers (lifetime users)

Drunkenness due to beer, wine and breezers (lifetime users)

Ever been drunk?

Notes: Estonia and Denmark are leading Youngsters from Southern and Western European countries have less experience with drunkenness but also Armenia, Slovenia and Bosnia-Herzegovina

10 Drunkenness due to spirits (lifetime users)

Drunkenness due to spirits (lifetime users)

Ever been drunk?

Notes: Nearly same ranking as regards the use of beer/wine/ breezers More youngsters reported getting drunken by using spirits than by beer, wine or breezers

11 Prevalence of drinking 5 units or more last drinking occasion

Prevalence of drinking 5 units or more last drinking occasion

(beer/wine/breezers)

Notes: Drinking high amounts of alcohol (5 alcoholic beverages and more) is more common in Central and some Northern European countries Spain is ranked between Northern and Eastern European countries (and not next to the Mediterranean countries)

12 Prevalence of drinking 5 units or more last drinking occasion

Prevalence of drinking 5 units or more last drinking occasion

(spirits)

Notes: Drinking high amounts of spirits is less common overall Similar ranking as regards the use of beer/wine/breezers

13 Patterns of use

Patterns of use

14 Cluster Analysis

Cluster Analysis

Variables Frequency of use last month (beer, wine, breezers) Amount of units last drinking occasion (beer, wine, breezers) Frequency of use last month (spirits) Amount of units last drinking occasion (spirits) Data 12 – 16 year-olds, 25 countries, with lifetime experience of drinking alcohol

15 K-means clustering

K-means clustering

differences in level

qualitative differences

Cluster means

frequency beer/wine

0

0.62

1.91

12.47

3.38

units beer/ wine

0

1.52

5.46

6.17

15.52

frequency spirits

0

0.12

0.94

4.77

1.99

units spirits

0

0.55

3.79

4.79

6.83

size (%)

42.9

42.0

11.5

2.2

1.5

no use

mild use

episodic use

frequent use

heavy episodic use

16 Identification of country clusters

Identification of country clusters

Can the countries be categorized regarding the prevalence of alcohol consumption patterns?

17 Three country clusters

Three country clusters

HIGHEST PROPORTION OF INTENSE USE

MAINLY MILD USE

MAINLY NO USE

17

18 Country clusters

Country clusters

Percent

East-Europe

Central- Europe

North-West-Europe

mild use

58.1

41.1

27.0

episodic use

11.3

15.3

7.4

frequent use

1.6

1.7

0.7

heavy episodic use

1.3

3.5

1.3

no use

27.7

38.4

63.6

19 Indicators for Risky use

Indicators for Risky use

20 What is risky drinking

What is risky drinking

Which goals prevention programs aim at? How is risky drinking behaviour measured in scientific studies?

21 Prevention aims and realities

Prevention aims and realities

Prevention goals

Risky drinking may be

late onset low frequency low amount reduction of risky use habits drinking only in leisure-time contextual abstinence avoid intoxication …

early drinking (minor than 14) drinking at all drinking more than once (e.g. weekly use) high amounts (e.g. heavy episodic drinking) drinking during examinations drunkenness (e.g. at least twice in lifetime) …

cp. ESPAD, HBSC

abstinence and/or responsible drinking?

22 Operationalisations of risky drinking

Operationalisations of risky drinking

Frequency Weekly Amount of alcohol Heavy episodic drinking: last month Heavy episodic drinking: lifetime Consequences of use Drunkeness lifetime (at least twice) Setting of use Alone Theoretical derived criteria No use under the age of 14 & less than 5 times last month & less than 5 units last drinking occasion

23 Results

Results

24 Distribution of indicators

Distribution of indicators

25 Distribution of sum of indicators

Distribution of sum of indicators

Over two thirds do not reach any of the criteria h.e.u. last month does not appear solely

26 Relationships of indicators

Relationships of indicators

1

,695

,537

,379

,465

-,023

1

,845

,500

,469

-,058

1

,510

,365

-,060

1

,316

-,056

1

-,019

1

Drinking alone does not measure the same Correlations of the indicators show middle to high size

risky use

h.e.u. l.m.

h.e.u. lifet.

drunkenness

weekly

alone

risky use

h.e.d. l.m.

h.e.d. lifet.

drunkenness

weekly

alone

27 Ausgew

Ausgew

hlte L?nder

28 Summary

Summary

adolescent alcohol use varies enormously across Europe

At least half of the students never drank alcohol in Iceland, Bosnia Herzegovina, France, Portugal, Cyprus and Norway Estonia, Hungary, Czech Republic and Lithuania show the highest rates of lifetime use Hungary, Estonia, Czech Republic, Denmark and Germany rank at the top and Bosnia and Herzegovina, Iceland, Portugal and France at the bottom regarding last month use Frequent drinking shows high ratings in Northern and Central European countries with Estonia, Switzerland, the Netherlands, Germany, Hungary and Denmark Considering lifetime drunkenness Northern and Eastern European Countries are leading (Estonia, Denmark, Ireland, Finland, Russia, Sweden and Norway) Heavy drinking of beer, wine and breezers is a common consumption pattern in Western countries (Ireland, Finland, Denmark, the Netherlands and Germany)

29 Summary

Summary

BUT: The problem‘s size differs dependent on the indicator chosen

For planing and evaluation of prevention programs a multiple perspective of risk indicators should be taken

Drinking at least 5 units of spirits during one occasion is popular in countries like Estonia, Ireland, Denmark and Poland Adolescent alcohol use may be described in complex use patterns There are countries with similar alcohol use patterns The Nordic drinking style which is characterized by using spirits in high amounts was found especially for Estonia and Lithuania. The more beer, wine and breezers drinking culture with high levels of episodic drinking was more common in Central European countries The Mediterranean style of drinking alcohol frequently but in moderation was more prevalent in France, Portugal and Bosnia and Herzegovina.

30 Open questions

Open questions

Which should be the aims of preventive efforts? Which country characteristics may explain these differences in adolescent alcohol use?

31 Alcohol consumption patterns of young adolescents in Europe Renate

Alcohol consumption patterns of young adolescents in Europe Renate

Soellner & Astrid-Britta Br?ker University of Hildesheim

AAA-Prevent Alcohol Abuse among Adolescents in Europe Effective Environmental Strategies for Prevention

32 based on %

based on %

Country clustering:

country

mild

moderate

frequent

intense

no

Germany

0.43

0.14

0.03

0.04

0.36

Netherlands

0.44

0.15

0.02

0.04

0.35

Austria

0.40

0.15

0.02

0.03

0.40

Switzerland

0.41

0.15

0.03

0.04

0.38

Belgium

0.41

0.12

0.02

0.02

0.43

Poland

0.42

0.13

0.01

0.04

0.40

Italy

0.45

0.08

0.01

0.01

0.45

Slovenia

0.47

0.10

0.01

0.02

0.40

Denmark

0.35

0.24

0.02

0.05

0.34

Finland

0.40

0.21

0.01

0.05

0.33

Ireland

0.34

0.22

0.01

0.04

0.40

Czech Rep.

0.64

0.15

0.01

0.02

0.19

Estonia

0.59

0.18

0.03

0.02

0.18

Lithuania

0.58

0.15

0.01

0.03

0.23

Armenia

0.58

0.04

0.00

0.00

0.38

Russia

0.53

0.07

0.01

0.01

0.39

Hungary

0.58

0.10

0.02

0.01

0.29

Norway

0.28

0.13

0.01

0.02

0.56

Sweden

0.31

0.11

0.01

0.02

0.55

Cyprus

0.33

0.06

0.01

0.01

0.59

Portugal

0.30

0.07

0.01

0.01

0.61

Bosnia/H.

0.29

0.05

0.00

0.01

0.65

Spain

0.26

0.10

0.01

0.01

0.62

France

0.24

0.05

0.00

0.01

0.70

Iceland

0.14

0.04

0.01

0.00

0.81

32

33 Alcohol consumption patterns of young adolescents in Europe Renate
«Alcohol consumption patterns of young adolescents in Europe Renate Soellner Astrid-Britta Br?ker University of Hildesheim»
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